Should You Take Emergency Contraception After Condom Failure?

Are you pregnant?

Two days ago, I had intercourse with my girlfriend using a condom, but after ejaculation, I didn't pull out immediately, which caused the condom to separate from my penis when I withdrew.
I'm not sure if any semen entered her.
Her period is due next week, and she is starting to experience premenstrual symptoms.
Should she take emergency contraception?

Xiao Wang, 10~19 year old female. Ask Date: 2020/02/08

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it is recommended to take emergency contraception for better safety.
Wishing you good health.

Reply Date: 2020/02/08

More Info

When it comes to the question of whether to take emergency contraception after a condom failure, there are several factors to consider. Based on your description, it sounds like the condom may have broken or slipped off during intercourse, which can lead to concerns about unintended pregnancy.

First and foremost, it’s important to understand how emergency contraception (EC) works. EC is designed to prevent pregnancy after unprotected intercourse or contraceptive failure. There are two main types of emergency contraception: hormonal pills (like Plan B or Ella) and the copper intrauterine device (IUD). The hormonal pills are most effective when taken as soon as possible after the incident, ideally within 72 hours, but they can be taken up to 5 days after unprotected sex. The copper IUD can be inserted by a healthcare provider within 5 days and is the most effective form of emergency contraception.

In your case, since you are unsure whether any semen entered your girlfriend’s vagina, it’s worth noting that the risk of pregnancy exists if there was any exposure to sperm. Even if her menstrual symptoms are starting, which could indicate that her period is approaching, it does not guarantee that she is not pregnant. Menstrual symptoms can sometimes mimic early pregnancy symptoms, so it’s essential to be cautious.

Given that her period is expected next week, you might consider the following steps:
1. Assess the Risk: If the condom did indeed fail and there is a possibility that sperm entered the vagina, the risk of pregnancy exists. If you are concerned about this risk, taking emergency contraception can provide peace of mind.

2. Timing: Since her period is due soon, if she has a regular cycle, it might be worth waiting until her expected period date to see if it arrives. If her period is late, she should take a pregnancy test.

3. Consult a Healthcare Provider: If you are uncertain about the situation, it’s always a good idea to consult with a healthcare provider. They can provide personalized advice based on her health history and the specifics of your situation.

4. Consider Emergency Contraception: If you decide to go ahead with emergency contraception, remember that the sooner it is taken after the incident, the more effective it will be. If it has been less than 72 hours since the incident, taking a hormonal EC pill is advisable.

5. Follow-Up: Regardless of whether she takes emergency contraception or not, it’s important for her to monitor her menstrual cycle. If her period is late, she should take a pregnancy test to confirm whether or not she is pregnant.

In conclusion, while the presence of menstrual symptoms may suggest that her period is approaching, it does not eliminate the risk of pregnancy from the condom failure. If there is any doubt or concern, taking emergency contraception is a responsible option to consider. Always prioritize open communication with your partner about these matters and ensure that both of you are comfortable with the decisions being made.

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